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RANDOLPH HEALTH FAMILY PRACTICE
NPI 1477721785
Family Medicine in Liberty, NC

Active since February 20, 2008CLIA 34D0967448 · Microscopy
525 W SWANNANOA AVE, LIBERTY, NC 27298(336) 622-4850(336) 622-4855 Get Directions Write a Review

NPPES record last updated: February 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 24, 2020, Jan 26, 2017 (2 updates tracked since 2017).

About Randolph Health Family Practice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDOLPH HEALTH FAMILY PRACTICE (NPI 1477721785) is a healthcare organization registered as a family medicine in Liberty, North Carolina and active in the NPI registry since February 2008. The organization holds a CLIA Microscopy certificate valid through November 14, 2027 and lists Robert Scott Clauser, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1477721785
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameRANDOLPH SPECIALTY GROUP PRACTICE
Location Address525 W SWANNANOA AVELiberty, NC 27298-3136
Mailing AddressPo Box 5418Asheboro, NC 27204-5418 · (336) 625-2333 · Fax (336) 625-5511
Phone(336) 622-4850
Fax(336) 622-4855
Organization SubpartNo
Authorized OfficialRobert Scott ClauserExecutive Director · (336) 625-2333
Enumeration DateFebruary 20, 2008
Last NPPES UpdateFebruary 24, 20202 updates tracked since enumeration
✔ NPI 1477721785 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
525 W SWANNANOA AVE, Liberty, NC 27298
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Other Names 1

Doing Business AsRandolph Health Family Practice

Other Identifiers 2

Other0248RNC · Bcbs
Medicaid5900588NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 34D0967448

American Healthcare Systems Dba Randolph Health Family Practice - Liberty · Liberty, NC
Active · expires Nov 14, 2027
CLIA Number34D0967448
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorNathan W. Conroy
Laboratory Phone(336) 622-4850
Laboratory LocationAmerican Healthcare Systems Dba Randolph Health Family Practice - Liberty525 W Swannanoa Avenue, Liberty, NC 27298
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY BROOKE CRUTCHFIELD FNP-C
Nurse Practitioner
525 W SWANNANOA AVE
LIBERTY, NC 27298
Randolph County (336) 622-4850
MR. DANIEL PATRICK WADDELL PA
Physician Assistant
525 W SWANNANOA AVE
LIBERTY, NC 27298
Randolph County (336) 622-4850
AMERICAN HEALTHCARE SYSTEMS, LLC
Family Medicine
525 W SWANNANOA AVE
LIBERTY, NC 27298
Randolph County (336) 622-4850
MR. NATHAN W CONROY PA-C
Physician Assistant
525 W SWANNANOA AVE
LIBERTY, NC 27298
Randolph County (336) 622-4850
MAURA L HAMRICK MD
Family Medicine
525 W SWANNANOA AVE
LIBERTY, NC 27298
Randolph County (336) 622-4850

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randolph Specialty Group Practice's NPI number?

The NPI number for Randolph Specialty Group Practice is 1477721785. It was assigned to this organization in the NPPES registry on February 20, 2008. The provider is doing business as Randolph Health Family Practice.

Where is Randolph Specialty Group Practice located?

Randolph Specialty Group Practice is located at 525 W Swannanoa Ave, Liberty, NC 27298. The listed phone number is (336) 622-4850.

What is Randolph Specialty Group Practice's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Randolph Specialty Group Practice hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 34D0967448) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Randolph Specialty Group Practice was last updated on February 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.